Antonio E Hachem, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4655TG Issued in TX

Practice address

7800 N Navarro St
Suite 223
Victoria, TX 77904-2611

Phone

(361) 573-2021

NPI assigned

Jul 9, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1306844709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N NAVARRO ST",
            "address_2": "SUITE 223",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042611",
            "telephone_number": "361-573-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N NAVARRO ST",
            "address_2": "SUITE 223",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042611",
            "telephone_number": "361-573-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACHEM",
        "first_name": "ANTONIO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4655TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00242X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00E92U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagen Rea Gumm, LCSW
• Alissa Renee Gutierrez, PT
• H-E-B, LP
• H-E-B, LP
• H. Ellwood Ernst, DDS, Ms, Inc
• John Hagan, C.R.N.A.
• Lisa Marie Hagan, R.D., L.D.
• Jennifer Marie Hahn, LVN
• Valerie E Hahn, APRN, FNP-C
• Samuel R Haliburton, APRN, FNP-BC

• Optometrist in Victoria, TX
• Providers in Victoria, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.